Facilitators and Barriers to Vocational Rehabilitation for People with Mental Illness: A Qualitative Study of Perspectives from Mental Health Service Providers and Consumers.

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Title: Facilitators and Barriers to Vocational Rehabilitation for People with Mental Illness: A Qualitative Study of Perspectives from Mental Health Service Providers and Consumers.
Authors: Murali, Sneha1 (AUTHOR), Arahanthabailu, Praveen1 (AUTHOR) praveen.a@manipal.edu, Bhandary, Rajeshkrishna P1 (AUTHOR), Yesodharan, Renjulal2 (AUTHOR), Narasimha Sharma, Podila Satya Venkata1 (AUTHOR)
Source: Journal of Vocational Rehabilitation. May2026, Vol. 64 Issue 3, p248-260. 13p.
Subject Terms: *Health services accessibility, *Qualitative research, *Caregivers, *Motivation (Psychology), *Vocational rehabilitation, *Research, *Research methodology, *Ability, *Training, *Cognition, Psychotherapy patients, Patient compliance, Rehabilitation of people with mental illness, Interviewing, Work environment, Thematic analysis, Attitudes of medical personnel, Mental health personnel, Drugs, Social support, Psychosocial factors, Patients' attitudes
Geographic Terms: India
Abstract: Background: Severe and persistent mental illnesses often lead to long-term psychosocial disability, affecting work participation, recreation, relationships, and community integration. Vocational rehabilitation is recognized as a key pathway to recovery. Objective: This study explored the perspectives of mental health service providers and service receivers on facilitators of and barriers to vocational rehabilitation for people with mental illness in coastal Karnataka, India, through thematic analysis. Methods: A descriptive qualitative design was employed, and data were collected through in-depth interviews with people with mental illness, their caregivers, and employers. A focus group discussion with rehabilitation professionals was also conducted. The transcribed verbatims were thematically analyzed by trained qualitative researchers. Results: Twenty-one participants provided insights into vocational rehabilitation experiences. Various themes emerged as facilitators and barriers. The findings highlight the role of supportive networks; clinical stability, such as compliance with medication, workplace accommodations, individual motivation, and acquired skills enabling vocational rehabilitation; and clinical vulnerabilities, such as cognitive deficits, stigma, systemic gaps, and high expectations, which remain significant barriers. Conclusion: Strengthening community-based and culturally tailored vocational rehabilitation models, enhancing employer sensitization, and expanding government support systems are critical to improving employment outcomes for people with mental illness in India. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Vocational Rehabilitation is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Facilitators and Barriers to Vocational Rehabilitation for People with Mental Illness: A Qualitative Study of Perspectives from Mental Health Service Providers and Consumers.
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  Data: <searchLink fieldCode="AR" term="%22Murali%2C+Sneha%22">Murali, Sneha</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Arahanthabailu%2C+Praveen%22">Arahanthabailu, Praveen</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> praveen.a@manipal.edu</i><br /><searchLink fieldCode="AR" term="%22Bhandary%2C+Rajeshkrishna+P%22">Bhandary, Rajeshkrishna P</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Yesodharan%2C+Renjulal%22">Yesodharan, Renjulal</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Narasimha+Sharma%2C+Podila+Satya+Venkata%22">Narasimha Sharma, Podila Satya Venkata</searchLink><relatesTo>1</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Vocational+Rehabilitation%22">Journal of Vocational Rehabilitation</searchLink>. May2026, Vol. 64 Issue 3, p248-260. 13p.
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  Data: *<searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br />*<searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br />*<searchLink fieldCode="DE" term="%22Caregivers%22">Caregivers</searchLink><br />*<searchLink fieldCode="DE" term="%22Motivation+%28Psychology%29%22">Motivation (Psychology)</searchLink><br />*<searchLink fieldCode="DE" term="%22Vocational+rehabilitation%22">Vocational rehabilitation</searchLink><br />*<searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br />*<searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br />*<searchLink fieldCode="DE" term="%22Ability%22">Ability</searchLink><br />*<searchLink fieldCode="DE" term="%22Training%22">Training</searchLink><br />*<searchLink fieldCode="DE" term="%22Cognition%22">Cognition</searchLink><br /><searchLink fieldCode="DE" term="%22Psychotherapy+patients%22">Psychotherapy patients</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+compliance%22">Patient compliance</searchLink><br /><searchLink fieldCode="DE" term="%22Rehabilitation+of+people+with+mental+illness%22">Rehabilitation of people with mental illness</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Work+environment%22">Work environment</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Attitudes+of+medical+personnel%22">Attitudes of medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+personnel%22">Mental health personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Drugs%22">Drugs</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22India%22">India</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Background: Severe and persistent mental illnesses often lead to long-term psychosocial disability, affecting work participation, recreation, relationships, and community integration. Vocational rehabilitation is recognized as a key pathway to recovery. Objective: This study explored the perspectives of mental health service providers and service receivers on facilitators of and barriers to vocational rehabilitation for people with mental illness in coastal Karnataka, India, through thematic analysis. Methods: A descriptive qualitative design was employed, and data were collected through in-depth interviews with people with mental illness, their caregivers, and employers. A focus group discussion with rehabilitation professionals was also conducted. The transcribed verbatims were thematically analyzed by trained qualitative researchers. Results: Twenty-one participants provided insights into vocational rehabilitation experiences. Various themes emerged as facilitators and barriers. The findings highlight the role of supportive networks; clinical stability, such as compliance with medication, workplace accommodations, individual motivation, and acquired skills enabling vocational rehabilitation; and clinical vulnerabilities, such as cognitive deficits, stigma, systemic gaps, and high expectations, which remain significant barriers. Conclusion: Strengthening community-based and culturally tailored vocational rehabilitation models, enhancing employer sensitization, and expanding government support systems are critical to improving employment outcomes for people with mental illness in India. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Vocational Rehabilitation is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1177/10522263261430693
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 13
        StartPage: 248
    Subjects:
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Caregivers
        Type: general
      – SubjectFull: Motivation (Psychology)
        Type: general
      – SubjectFull: Vocational rehabilitation
        Type: general
      – SubjectFull: Research
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Ability
        Type: general
      – SubjectFull: Training
        Type: general
      – SubjectFull: Cognition
        Type: general
      – SubjectFull: Psychotherapy patients
        Type: general
      – SubjectFull: Patient compliance
        Type: general
      – SubjectFull: Rehabilitation of people with mental illness
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Work environment
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Attitudes of medical personnel
        Type: general
      – SubjectFull: Mental health personnel
        Type: general
      – SubjectFull: Drugs
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      – SubjectFull: Social support
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      – SubjectFull: Psychosocial factors
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      – SubjectFull: Patients' attitudes
        Type: general
      – SubjectFull: India
        Type: general
    Titles:
      – TitleFull: Facilitators and Barriers to Vocational Rehabilitation for People with Mental Illness: A Qualitative Study of Perspectives from Mental Health Service Providers and Consumers.
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            NameFull: Murali, Sneha
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            – D: 01
              M: 05
              Text: May2026
              Type: published
              Y: 2026
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